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目的探讨无痛睡眠麻醉技术在输卵管结扎术(女扎)中的临床应用价值,旨在解除女扎妇女的手术痛苦。方法对30例女扎妇女在局部麻醉前先静脉给予咪唑安定或异丙酚,少量雷米芬太尼或芬太尼,术毕应用拮抗药使术者清醒。同期30例单纯局部麻醉女扎妇女作为对照组。结果30例女扎妇女术中呼吸、循环功能稳定,全部达到术中睡眠、无动、无痛、无牵拉反射状态,术毕即清醒。结论无痛睡眠麻醉能够解除女扎妇女对手术的恐惧,消除术中牵拉疼痛和迷走神经反射引起的症状,减轻或消除术后精神症状,并能缩短手术时间,减少手术并发症,提高手术安全性。
Objective To investigate the clinical value of painless sleep anesthesia in tubal ligation (female ligation) aimed at relieving the surgical pain of female ligation women. Methods 30 female women were given intravenous midazolam or propofol, a small amount of remifentanil or fentanyl intravenously before local anesthesia. At the end of the operation, they were awakened by antagonists. In the same period, 30 cases of women with local anesthesia were used as control group. Results 30 women with female respiratory and circulatory function were stable, all achieved intraoperative sleep, no moving, no pain, no traction and reflex state, the surgery was awake. Conclusion Painless sleep anesthesia can relieve the fears of surgery for female women, relieve the symptoms caused by intraoperative traction pain and vagal reflex, reduce or eliminate postoperative psychiatric symptoms, shorten the operation time, reduce the complications and improve the operation safety Sex.